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HomeMy WebLinkAboutPermit File BLD-2020-0432 5526 Sugarloaf Street 1 ` . _ City of Anacortes Invoice/Permit #: BLD-2020-0432 904 6th Street Applied date: 07/27/2020 P.O.Box 547 Issue date: 0 7/27/2020 ; Anacortes, WA 98221-0547 ?:. 181 Expire date: 01/23/2022 ,4 . (360) 293-1901 Job Address: 5526 SUGARLOAF ST Permit Type: Mechanical Permit ANACORTES WA 98221-2962 Project: APN: P59033 Remarks: EXTEND A GAS LINE FROM GAS METER TEE TO A NEW GAS GENERATOR. Owner: TINA M BROWN Contractor: TIDEWATER PLUMBING & IViECHANICA Address: 5526 SUGARLOAF ST Address: 3911 MALLARD POINT DR ANACORTES WA 98221-2962 ANACORTES WA 98221-3656 Phone: (360) 755-3238 Phone: (360) 293-7794 License #: Generai information: Fees: # of Gas Piping 1 Mechanical Permit Fees 28.25 Total Calculated: 28.25 Deposits/Receipts: 0.00 Total Due: 28.25 The issuance or granting of this permit shall not be construed to be a permit for, or approval of, any violation of this Code or any other ordinance or order of the City, of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor of this State. To the extent the issuance or granting of this permit is interpreted to allow construction activity during any period of time when such construction is prohibited or restricted by any state or federal law, or order, proclamation, guidance advice or decision of the Governor of this State, this permit shall not authorize such work and shall not be valid. The building official is authorized to prevent occupancy or use of a structure where in violation of this Code, any other City ordinances of this jurisdiction or any other ordinance or executive order of the City, or of any state or federal law, or of any order, proclamation, guidance advice or decision of the Governor. The building official is authorized to suspend or revoke this permit if it is determined to be issued in error or on the basis of incorrect, inaccurate or incomplete information, or in violation of any City ordinance, regulation or order, state or federal law, or any order, proclamation, guidance or decision of the Governor. This permit becomes null and void if work or construction authorized is not commenced within 180 days or if construction work is suspended or abandoned for a period of 180 days at any time after work is commenced. I have read and examined this application and know the same to be true and correct. `% SIGNATURE OF OWNER OR AUTHORIZED AGENT ISSUED\B"Sf VN, I_ rb:‘.2: -"'Y,oec;\ ; ) '11.11jinebair 1 r , /at :°'01111100r". Finance Department 020271-0155 Erin N. 07/27/2020 02:14PM PERMITS AND INSPECTIONS TIDEWATER PLUMBING & MECHANICA BLD-2020-0432 Mechanical Permit EXTEND A GAS LINE FROM GAS METER TEE TO issued 2020 Item: BLD-2020-0432 Mechanical Permit Fees 28.25 Payment Id: 288256 28.25 Subtotal 28.25 Fee FEE 0.42 Total 28.67 O3FINANCE CREDIT CARD 28,67 MasterCard ************5688 Ref42139035622 Auth=03133P 5688 1 Change due 0.00 Paid by: TIDEWATER PLUMBING & MECHANICA Signature: Thank you for your payment COPY DUPLICATE RECEIPT 11)N R II wt./ 1-_,F6' fLn - ozo - OL-132 ,. JUL 2 G, COMMUNITY, &ECONOMIC DEVELOPN. N DEPARTMENT l Ake PLUMBING & MECHANICAL PERMIT APPLICATION o,, " OFF .Mailing Address:P.O Box 547,Anacortes, WA 98221 e,r,v. '. Office Location: 904 6th Street,Anacortes WA 98821 Phone: (360) 293-1901 PLEASE REFER TO THE PLUMBING&MECHANICAL PERMIT CHECKLIST FOR SUBMIT'7AL REQUIREMENTS PROJECT ADDRESS(Street,Suite#): PARCEL(S)#: PROJECT VALUATION: t53;2 t5'Gi(A rC-d A F ST. Subdivtsion/Lot#: RESIDENTIAL ©---COMMERCIAL ❑ APPLICANT: Phone: 7-1K/ 6Ro d,V ..VQ•-- 15.5-- 3 )-3' Address(Street,City,State,Zip): Email Address: fit (o &A(,,2Lm4F 57: We/wit/4 9h7-/ PROPERTY OWNER:) Phone: T/NV/? ,BAD Wig Address(Street,City,State,Zip): Email Address: CONTACT PERSON: Phone: .EL'c A) HA)JO -- 060.ago/- 9 9 Address street,City,,State,Zip): Email Address: . 9'//�/A, MIT /ve.,dll IP ,ll, g�/ - 1,derA Corocasi-rle/ CONTRACTOR:*4 Phone: l� .ctdArEA t 1,044 04 h1Ai/C/ Address(Street,City,State,Zip): Email Address: . �// /✓oy�17 Ieic ;11(4 it ' • 9S�)/., *All Contractors&subcontractors must have a valid Cityo 't Professional License#: Exp.Date: Anacortes business license prior to doing work in the City. f ?�W s Li nse# EL p. y`20 / Contact the City's Finance Department at(360)299-1968. Business License#: Exp.Date: 6aJ.�g9/3� 0,2;2f'..-2-p.z0 Is this work,associated with another project? Yes ❑ No1' If yes,specify: PROPO ED WORK: 5� � , t /�. Ott 1 ;iI - , 4 c/G ale 6--ei....yc- , I declare under penalty of perjury that the information I have provided on this form/application is true,correct,and complete,and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of Anacortes. 1 —..,---- (2,0----,11-1/ri, }rintN m:: .fi L . v lb 3'A OAser U Agent Li opt- ly):\ag Mix:, Signature: Date: 7_J.r- . -Q 0